The Begginings Of change Of Medicine Flashcards

1
Q

Hat turning points marked the change from mediaeval period to early modern period 1500?

A
  • development of renaissance long term intellectual shift and rediscovery of classical culture, people questioning wisdom and consulting original texts and trusting their own observations
  • beginning of reformation from 1517 Catholic Church’s control over intellectual life was losing power and slowly people began to challenge accepted beliefs
  • technological developments e.g invention of printing press meant ideas could spread faster and more reliably
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2
Q

Who was Andreas Vesalius?
1514-64

A

Carried out own dissections showing the errors of Galen’s understanding of anatomy
His book De fabrica corporis Humani illustrated with numerous detailed engravings

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3
Q

Who was Ambrose Pare?
1510-1590

A

Had huge practical experience as a result of his work as an army surgeon
Published a book Oeuvres in 1575 he was a surgeon to the French court serving 4 kings over 38 year period
Discovered that you could tie of an artery then use stitches however doctors even 100 years later still used old methods
Invented mechanical limbs

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4
Q

Who was Leonardo da Vinci

A

Artist
Observed and carried out dissections in order to inform his artistic work
His illustration is dissections, while detailed remained in manuscript form so were seen by very few people

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5
Q

Who was Thomas Linacre?

A

Studied in Italy and qualified as a physician in Padua. Translated and published scholarly editions of some of Gals s. Work in Latin. Instrumental in setting up lectureships in medicine at both Oxford and Cambridge. Instrumental in foundation of Royal College of Physicians in 1518

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6
Q

Who was John Caius?

A

Studied in Padua under Versalius
Translated and published scholarly editions of some of Glens works in Latin
Published account of the sweating sickness based on his own observations
Pioneered the study of anatomy in England arranging for the bodies of two excuted criminals to be dissected yearly

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7
Q

Who was William Harvey?

A

Studied in Padua. Interested in Physiology particularly blood and using experiments and dissection proved that blood circulates around the body using arteries and veins with valves. Also showed that heart acted as a pump for the system
Also able to show that Galens belief that the liver not the heart was at the centre of the body was wrong

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8
Q

Who was Thomas Sydenham?

A

Published books on different specific diseases based on his own observations best known book observations Mediciea became a standard medical textbook for 2 centuries
Known as English Hippocrates believed in close observation of patients and scientific method.
Developed a successful treatment for small pox (cool therapy) opposite to what previous doctors were doing and trying to get the patien5 to sweat out the disease.

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9
Q

What was a quack?

A

Unqualified medical practitioner selling unproven medicines

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10
Q

What was an Elixir?

A

‘Medicine’ designed to prevent or cure any illnesses

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11
Q

How as medicine developing in the early modern period?

A
  • 1618 college of physicians published a book the London Pharmocopoeia which listed medical compounds and their ingredients. College enforced all recipes on pharmacies in London and had power to destroy and the they did not approve of
  • 1653 publificatipn of Nicholas Culpepers complete Herbal (in English) allowed literate people to make their own effective remedies
    -importation of new plants opium, tobacco, rhubarb, chinchona bark and senna meant herbal remedies were more effective
  • quack doctors selling elixirs were more likely to kill patients than cure them
  • quack doctors preyed on the poor who could not afford to consult better qualified physicians
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12
Q

The foundling Hospital
1741

A

Opened by sea captain Thomas Cora. Took him ten years to raise funds for hospital. Founded to care for a bonded babies born out of wedlock. Founded by donations the babies were fostered until they were 5 then brought to live in hospital until 15.
However it was a loterry many more applicants than places available. Girls were trained to be servants and boys to be in the army

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13
Q

St Bartholomews Hospital

A

Founded as religious institution in 1123 did not get closed down by reformation. Supported by City of London and private donors. Gradually moved form being a hostel for the poor to a place of treatment and research. Harvey did his research on circulation here.
Training and research were prioritised. Hospital moving to be more like a modern hospital

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14
Q

St Thomas’s Hospital

A

Founded as a religious institution caring for poor in 12th century was closed down during dissolution of monasteries but opened up a few years later. Was involved with medical training form mid 16th century

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15
Q

Royal hospital for Seamen, Greenwich

A

Founded in 1694 by royal Charter supported by Mary II and her husband William III it was I tended to provide a place of refuge for elderly and injured seamen who had served in the Royal Navy. Gave care for disabled as a result of warfare.

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16
Q

Hospitals outside London

A

Lots of hospitals set up outside London in 18th century. E.g Edingborough Royal infirmary (1729),Bristol royal infirmary (1735) and Addenbrookes in Cambridge (1766). All these hospitals were voluntary charitable foundations paid for by wealthy people leaving money in wills .
But
No government funded hospitals
They were not nation wide it was a postcode lottery

17
Q

who was Robert Burton and what was his famous Book?

A

book: The anotomy of Melancholy (1621)
divided “melancoly” depression into 2 types passingdepression caused by events and a tendancy to be depressed which burton calls a “serious ailment”. Book draws observations from his own observations but also from astrology and writing of Galen and Hippocrates.
signs of progress: positive depression recognised as a mental illness to be treated.
not progress: included ideas about astrology

18
Q

Who was Jane Sharp and how was she significant?

A

book (1671): the complete Midwifes companion
based on her experience and was designed as a practical handbook for use of pregnant women and those helping them give birth. even section of advice for fathers. included diagrams with advice on complications that could happen. drew on Galen but corrected his mistakes in light of her own experiences. book was reprinted many times but was exspensive. Sharp addamant that attending on women was a womens job and went againts the increasing masculinisation of this branch of medicine.
progress: corrected mistaken ideas, widely reprinted
negatives: exspensive so many women still cant afford a copy.

19
Q

How was sir John Floyer’s book significant?

A

book: a treatise on athsma
careful scientific account of causes, symptoms abd treatments of athsma. but Floyer believed in Galenic ideas, importance of the humours, role of angels in brining miraculous cures.
progress: identified causes of athsma using 1st hand observation and provided rational treatments
negatives: still promoted unscientific ideas

20
Q

How was Dr George Cheyne’s book significant?

A

book: an essay on Health and long life
made a number of simple common sense remarks based on obvs of patients at their local pub. promoted being vegeterian, based on his own experience of gaining +losing weight, + importance of preventing disease through healthy lifestyle
progress: promoted healthy living + exercise preventing disease instead of going to doctor once already sick

21
Q

How was Dr James Lind’s book significant?

A

book: A treatise on the scurvy
based ideas of 1st clinical trials, divided a group of 12 sailors with scurvy into 6 pairs and gave each pair different treatment only ones receiving citrus juice got better. however royal navy only started issuing citrus juice to sailors methodically in 1800 lind died 1794. alos came up with way of preventing typhus outbreaks on ships by keeping cleanliness, e.g changes of clothing and bedding.
progress: clinical trials, first hand observations ideas spread through book